Spinal meningioma

Case contributed by Dr Pavan Borra

Presentation

Bilateral lower limb weakness.

Patient Data

Age: 65 years
Gender: Female
MRI

A well-defined T1, T2 isointense intradural extramedullary lesion noted in the spinal canal at D9-D10 level with compression of the spinal cord. Intense homogenous enhancement noted on contrast study.

Case Discussion

Differential diagnoses were meningioma and nerve sheath tumor. Postoperative histopathological examination revealed meningioma.

Spinal meningiomas are seen most commonly >40 years and in females. The thoracic region is the most common location for spinal meningiomas.

Other imaging features of meningiomas are a dural tail, bone erosions, enlargement of intervertebral foramina and scalloping of posterior vertebral margin.

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Case information

rID: 68146
Published: 16th May 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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